Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at North Star Manor during CMS and state inspections, most recent first.
A resident with multiple psychiatric and medical diagnoses received repeated PRN Lorazepam orders for anxiety without documented clinical rationale for continued use, despite facility policy requiring such documentation for psychotropic medications beyond 14 days. The DON was unaware of this requirement, and a physician-signed form for dose reduction attempts was left incomplete.
The facility failed to accurately submit RN hours on the PBJ, potentially affecting all 30 residents. The PBJ report indicated no RN hours on certain days, but payroll and schedules showed RNs worked 8-hour shifts on those days. The administrator confirmed the scheduling and was unsure of the report's inaccuracy, requiring further investigation.
The facility failed to ensure proper infection control practices in the laundry department, as staff sorted soiled laundry without using appropriate PPE, such as gowns, which could lead to contamination of uniforms. The infection control preventionist and DON were unaware of this practice, despite the facility's policy requiring protective equipment when handling soiled laundry.
Lack of Clinical Rationale for Continued PRN Lorazepam Use
Penalty
Summary
The facility failed to ensure that a clinician documented a clinical rationale for the continued use of a PRN (as needed) psychotropic medication, specifically Lorazepam, for a resident with diagnoses including depression, psychotic disorder with delusions, pain, weakness, anxiety, and Alzheimer's disease. Multiple verbal orders for Lorazepam 0.5 mg every eight hours as needed for anxiety were confirmed and renewed over several months, but none of the orders included a documented clinical rationale for the ongoing use of the PRN medication. Additionally, a facility form regarding psychotropic medication gradual dose reduction attempts indicated that a dose reduction was not possible, but the required section for clinical rationale was left blank and only signed by the physician. During an interview, the DON acknowledged that the facility had implemented a process for providers to write new orders for PRN medications that were expiring but was unaware that a clinical rationale was required for the continued use of PRN psychotropic medications. Facility policy stated that PRN orders for psychotropic medications beyond 14 days required practitioner documentation of the rationale for the extended order, which was not followed in this case.
Inaccurate RN Hours Submission in PBJ
Penalty
Summary
The facility failed to ensure that registered nurse (RN) hours were accurately submitted on the payroll-based journal (PBJ), which had the potential to affect all 30 residents residing in the facility. The PBJ Staffing Report CASPER Report 1705D for the fiscal year Quarter 2 2024 identified a trigger for no RN hours on specific days, including 2/24, 3/9, 3/10, 3/17, 3/24, and 3/31. However, upon review of the facility's payroll and working schedule, it was found that an RN was working for 8 hours consecutively on all six days identified in the PBJ report. During an interview on 6/27/24, the administrator confirmed that RNs were scheduled per the requirements on the identified days and expressed uncertainty about why the PBJ report was inaccurate. The administrator indicated a need to investigate further to identify the reason for the discrepancy.
Inadequate Use of PPE in Laundry Sorting
Penalty
Summary
The facility failed to ensure that soiled and potentially contaminated laundry was sorted in a manner that reduced the risk of cross-contamination and the spread of infection. During a laundry tour, it was observed that dirty laundry from the nursing floor was brought to the laundry room in barrels and sorted into different carts without the use of appropriate personal protective equipment (PPE). The housekeeper responsible for sorting the laundry wore gloves but did not wear a disposable gown, which could lead to contamination of her uniform. The facility's policy required the use of protective gloves and other equipment as needed when handling soiled laundry, but this was not being followed. Interviews with the infection control preventionist and the director of nursing revealed that they were unaware that laundry staff were not using PPE while sorting soiled laundry. Both acknowledged that the lack of PPE use was an infection control issue, as it posed a risk of contaminating staff uniforms. The facility's policy on handling soiled laundry, dated 7/25/23, specified the need for protective equipment, but this was not being adhered to, leading to a deficiency in infection prevention and control practices.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Warren
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Valley Senior Living On Columbia | 23.9 mi | ★★★★★ | 1 | 0 |
| Woodside Village | 24.9 mi | ★★★★★ | 4 | 0 |
| Oakland Park Communities, Inc. | 28 mi | ★★★★★ | 19 | 0 |
| Thief River Care Center | 28.1 mi | ★★★★★ | 12 | 1 |
| Karlstad Healthcare Center Inc | 28.8 mi | ★★★★★ | 7 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.